| NPI | 1750735999 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: CA A153068) |
| Additional Taxonomies | 208200000X Plastic Surgery (Licence: TX U4385) |
| Enumeration Date | 2016-04-13 |
| Last Update Date | 2026-06-02 |